| NPI | 1215746052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA MARIE RIVERA CEO 602-292-4680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2025-01-06 |
| Last Update Date | 2025-01-06 |